The Effect of Standardized Enteral Nutrition on Critically Ill Patients

Summary

The goal of this study is to evaluate whether a standard enteral nutrition protocol can
improve the efficiency in achieving nutritional goals and improve prognosis in critically
ill patients.

Description

As we all know, the nutrition status in critically ill patients is associated with the
prognosis of these patients. And it has been confirmed that early enteral nutrition results
in better outcome. However,some epidemiological investigation reported that in most
intensive care unit, the phenomenon of delayed feeding or under feeding are not uncommon. In
2007, a study reported that the percentage of early enteral nutrition within 48h is 64%,
based on mechanical ventilated patients in 208 intensive care unit nationally. Other study
indicated that the calorie supported by the enteral nutrition only constitute 50% of the
target calorie. Several studies have showed that the application of a standard enteral
nutrition protocol could result in an improvement in the delivery of enteral feedings to
patients. However, there is no such study in China.The goal of this study is to evaluate
whether a standard enteral nutrition protocol can improve the efficiency in achieving
nutritional goals and improve prognosis in critically ill patients.

Nutrition therapy is essential to the care of critically ill patients. Information that is used to calculate the differences between patients' nutrition prescription and actual provision may be flawed...

- Overfeeding of critically ill patients is associated with a higher incidence of infections and an increased length of ventilation. However, trophic nutrition or permissive underfeeding appears to ha...

Anorexia is a preserved evolutionally response that may be beneficial during acute illness. Yet current clinical practice guidelines recommend early and targeted enteral nutritional support. However, ...

Recent clinical trials have challenged the concept that aggressive full feeding as close to goal requirements as possible is necessary in the first week following admission to the intensive care unit....

Medical and Biotech [MESH] Definitions

Enteral Nutrition

Nutritional support given via the alimentary canal or any route connected to the gastrointestinal system (i.e., the enteral route). This includes oral feeding, sip feeding, and tube feeding using nasogastric, gastrostomy, and jejunostomy tubes.

Parenteral Nutrition

The administering of nutrients for assimilation and utilization by a patient who cannot maintain adequate nutrition by enteral feeding alone. Nutrients are administered by a route other than the alimentary canal (e.g., intravenously, subcutaneously).

Parenteral Nutrition, Home

The at-home administering of nutrients for assimilation and utilization by a patient who cannot maintain adequate nutrition by enteral feeding alone. Nutrients are administered via a route other than the alimentary canal (e.g., intravenously, subcutaneously).

Nutrition Assessment

Evaluation and measurement of nutritional variables in order to assess the level of nutrition or the NUTRITIONAL STATUS of the individual. NUTRITION SURVEYS may be used in making the assessment.

Animal Nutrition Sciences

The study of NUTRITION PROCESSES, as well as the components of food, their actions, interaction, and balance in relation to health and disease in animals.

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